现代中医临床2025，Vol.32Issue(4)：18-23,6.DOI:10.3969/j.issn.2095-6606.2025.04.004
针灸治疗阳虚质超重/肥胖患者的临床疗效观察
Clinical observation on acupuncture treatment of overweight/obesity patients with yang deficiency
摘要
Abstract
Objective To observe the clinical efficacy of acupuncture in improving body weight,TCM constitutions,body surface temperature and basal metabolic rate of overweight/obese people with yang deficiency.Methods 62 subjects who met the inclusion criteria were randomized into a experimental group and a control group,using random number tables and the envelope method,with 31 cases in each.Both groups were given lifestyle intervention.The experimental group was treated with acupuncture and electroacupuncture combined with warming needle moxibustion,while the control group was treated with sham acupuncture,sham electroacupuncture and sham warm needle moxibustion.The treatment was given three times a week for 12 weeks.Body weight,BMI,waist circumference and transformation of yang deficiency after 12 weeks were the main evaluation indexes.Axillary temperature,Dazhui point temperature,Zhiyang point temperature and basal metabolic rate(BMR)were secondary outcome indicators.The adverse reactions of the two groups were evaluated.Results ① During the study,2 participants dropped out in each group.A total of 29 subjects in the experimental group and in the control group completed the trial.② After the intervention,the body weight,BMI and waist circumference in both groups decreased(P<0.05),with the experimental group showing a significantly greater reduction compared to the control group(P<0.05).③ After the intervention,the transformation scores of yang deficiency in both groups decreased(P<0.05),with the experimental group showing a significantly greater reduction than the control group(P<0.05).④ After the intervention,the axillary temperature of the control group decreased and the temperature of Dazhui point increased,but the difference was not statistically significant(P>0.05).The Zhiyang acupoint temperature increased significantly in the control group(P<0.05).The axillary temperature,Dazhui point temperature and Zhiyang point temperature in the experimental group increased(P<0.05).And compared with the control group,the axillary temperature,Dazhui point temperature and Zhiyang point temperature in the experimental group were higher,and the difference was statistically significant(P<0.05).⑤ After the intervention,BMR decreased in both groups,and the difference was statistically significant(P<0.05).The experimental group showed a lower BMR than the control group,but the difference was not statistically significant(P>0.05).⑥ During the study,there was one case of irregular menstruation in the experimental group and one case of constipation in the control group,which did not affect the treatment course.There was no significant difference in the adverse reaction rate between the two groups(P>0.05).Conclusion Acupuncture can reduce body weight and improve yang deficiency,and it is effective in improving the weight,BMI,waist circumference,transformation of yang deficiency,axillary temperature,Dazhui point temperature and Zhiyang point temperature of overweight/obese subjects with yang deficiency.However,compared with the control group,acupuncture did not show a significant improvement in BMR.关键词
阳虚质/超重/肥胖/针灸/假针灸Key words
yang deficiency/overweight/obesity/acupuncture/sham acupuncture分类
医药卫生引用本文复制引用
李婷,阎思宁,尹丽红,王翰林,陈裕,谢长才..针灸治疗阳虚质超重/肥胖患者的临床疗效观察[J].现代中医临床,2025,32(4):18-23,6.基金项目
省部共建中医湿证国家重点实验室专项(No.SZ2022KF14,SZ2021ZZ08) （No.SZ2022KF14,SZ2021ZZ08）
